| NPI | 1255444956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND N MOTT President/CEO 845-534-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |